| NPI | 1164896726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 599850) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2025-09-19 |